Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $433.04 / $1,700.00	Facility		$280.00	$433.04	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.00 / $280.00 / $350.00	Professional		$271.00	$280.00	$350.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.88 / $335.35 / $365.38	Facility		$298.88	$335.35	$365.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $324.77 / $324.77	Professional		$166.48	$324.77	$324.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $317.77 / $317.77	Facility		$317.77	$317.77	$317.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $405.97 / $864.87	Professional		$261.45	$405.97	$864.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $362.64 / $573.07	Professional		$232.09	$362.64	$573.07